Evidence map›Paper›PMID 40156643›Full record

ArticleDysphagia2025

Fluoroscopy Time of Radiologist-Monitored Modified Barium Swallow Exams in Oncology: A 3-year Single Institution Retrospective Study.

Brinda R Korivi, Carla L Warneke, Mostafa A Shehata, Sheila Buoy, Xiaohui Tang, Madhavi Patnana, Sarah M Palmquist, Sanaz Javadi, Sonia Prithvi Rao, Ronald A Rauch and 3 more

Abstract read
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In one paragraph

Article in Dysphagia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Brinda R KoriviAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-7473-6414
Carla L WarnekeDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-5012-2861
Mostafa A ShehataAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-3201-6616
Sheila BuoySection of Speech Pathology & Audiology, Department of Head and Neck Surgery, University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Xiaohui TangSection of Speech Pathology & Audiology, Department of Head and Neck Surgery, University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Madhavi PatnanaAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-8135-8001
Sarah M PalmquistAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-4293-0199
Sanaz JavadiAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-2261-6757
Sonia Prithvi RaoUT Austin, Austin, TX, USA.
Ronald A RauchWesleyan University, Middletown, CT, USA.
Mindy X WangAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-3457-9327
Khaled M ElsayesAbdominal Imaging Department, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-0184-0717
Katherine A HutchesonSection of Speech Pathology & Audiology, Department of Head and Neck Surgery, University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA. karnold@mdanderson.org.ORCID http://orcid.org/0000-0003-3710-5706

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fluoroscopy time is an important metric for radiation safety, but how it is related to dysphagia severity as graded by Dynamic Grade of Swallowing Toxicity (DIGEST) criteria and other factors in oncology practice is undocumented. We evaluated the fluoroscopy time for the bolus protocol used at the originating institution of the DIGEST method and assessed the relationship between fluoroscopy time and DIGEST grade, exam indication, and additional parameters. Eleven trials, including specified VARIBAR® barium volumes, were included in the standard bolus protocol. Electronic health record (EHR) 2018-2021 databases were sampled in a retrospective STARI-guided DIGEST implementation evaluation for clinically reported DIGEST grades in the EHR and matched to fluoroscopy time. The study sample included 4,162 modified barium swallow (MBS) examinations. Using generalized linear modeling, we tested log-transformed fluoroscopy time associations with Tukey's adjustment for multiple pairwise comparisons. MBS duration ranged from 0.16 to 11.80 min (Median 2.21, IQR 1.98). Fluoroscopy time was associated with exam indication, cancer diagnosis, setting, and DIGEST grade. Fluoroscopy times increased as the DIGEST severity grade worsened (R

Indexed as

Deglutition DisordersNeoplasmsAgedBariumBarium SulfateContrast MediaDeglutitionFemaleFluoroscopyHumansMaleMiddle AgedRadiologistsRetrospective StudiesTime FactorsBariumBarium SulfateContrast MediaDIGEST criteriaDysphagiaFluoroscopy timeModified barium swallow

Identifiers

PMID40156643

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.